Keith E Jackson, CRNA in Tuscaloosa, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Keith E Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tuscaloosa, Alabama. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clay County Healthcare Authority, Patriot Perioperative Partners, Inc and his current practice location is 100 Rice Mine Rd N, Tuscaloosa, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 354-0010.

Keith E Jackson is licensed to practice in Alabama (license number 1-080730) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205866142.

Contact Information

	Keith E Jackson, CRNA
	100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300
	(205) 354-0010
	Not Available

Map and Direction

Provider's Profile

Full Name	Keith E Jackson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	100 Rice Mine Rd N, Tuscaloosa, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith E Jackson graduated from nursing school in 2000

NPI Data:

NPI Number: 1205866142
Provider Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567449572
Enrollment ID: I20040707000524

Medical Identifiers

Medical identifiers for Keith E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205866142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-080730 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Clay County Hospital	Ashland, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clay County Healthcare Authority	5193700797	9
Patriot Perioperative Partners, Inc	4789964859	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith E Jackson allows following entities to bill medicare on his behalf.

Entity Name	Clay County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477551554 PECOS PAC ID: 5193700797 Enrollment ID: O20040618001157

Entity Name	Southeast Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619087319 PECOS PAC ID: 4587641592 Enrollment ID: O20040707000456

Entity Name	Patriot Perioperative Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386194454 PECOS PAC ID: 4789964859 Enrollment ID: O20161207000089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith E Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith E Jackson, CRNA 712 Robin Rd, Birmingham, AL 35214-3524 Ph: (205) 213-8420	Keith E Jackson, CRNA 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 Ph: (205) 354-0010

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tuscaloosa, AL

Tonya Via, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7755
Mr. Joseph Lee Stork Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7111
Mr. Arvil Boler Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, -, Tuscaloosa, AL 35401 Phone: 205-759-7111
Soon Ja Stanley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7352 Fax: 205-759-6397
Melissa Newell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152
Lisa J. Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152
Laura Carter Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7111

Keith E Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tuscaloosa, AL